NPIMap

Organization Active NPI

Agape Community Health Center, Inc.

Doing business as Agape Community Health Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, FL
National Provider Identifier
1871133934
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AGAPE COMMUNITY HEALTH CENTER, INC.
Doing business as
Agape Community Health Mobile Unit
Practice address
120 King St
Jacksonville, FL 32204-2410
Phone
(904) 760-4904
Fax
(904) 930-4607
NPI assigned
Jan 7, 2020
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AGAPE COMMUNITY HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mia L. Jones
Title
Ceo
Phone
(904) 760-4904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

120 King St
Jacksonville, FL 32204-2410

Mailing address

120 King St
Jacksonville, FL 32204-2410
Phone (904) 760-4904

Other names 1

  • Agape Community Health Mobile Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Health Mobile Unit13 organizations share this tax ID, including this one
Part of
Agape Community Health Mobile Unit

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1871133934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042410",
            "telephone_number": "904-760-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KING ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042410",
            "telephone_number": "904-760-4904",
            "fax_number": "904-930-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE COMMUNITY HEALTH CENTER, INC",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-760-4904"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Community Health Mobile Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.